Individual
DR. LLOYD CHARLES KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3 PHEASANT LN, ITHACA, NY 14850-6311
(607) 319-0813
(607) 319-0813
Mailing address
3 PHEASANT LN, ITHACA, NY 14850-6311
(607) 319-0813
(607) 319-0813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y1143A01
MEDICARE INDIVIDUAL PTAN
VA
01
—
206642
ANTHEM
VA
Enumeration date
06/27/2006
Last updated
07/08/2016
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